STUDENT BURSARY – Application Form Applicant’s Full Name: Address: _______________________________________________________________ City: _________________________________Postal Code: _______________________ Home Phone: __________________________ Date of Birth:__________________ Email Address: __________________________________________________________ Secondary School Attending: _______________________________________________ Secondary School Graduation Date: _________________________________________ Registered Post Secondary Institution: _______________________________________ Permission is granted to the Selection Committee to obtain a confidential recommendation from the principals of the schools named above. Permission is granted to the Selection Committee to publish the name and photo of recipient and to place information on website. ____________________________________ _________________ Signature of Applicant Date ____________________________________ _________________ Signature of School Principal Date Personal Cover Letter: In addition to this completed form, please include a letter outlining the following: • Contributions to the school and/or community that reflect Catholic values • Contribution to extra curricular activities • Volunteer work within the school and/or community • Financial need and/or other personal challenges or obstacles Overall Application requirements include: • Application form • Personal cover letter • Evidence of acceptance into a post-secondary institution • Two letters of recommendation from the following: School Principal or designate, employer, departmental head, chaplain, support staff, teacher Only completed applications will be considered for this bursary. In order to be considered for this award, a completed application package must be forwarded by May 8, 2009 VIA COURIER: Maureen Ryan, President, CUPE Local 1328 CEC.
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